More than 22,000 people have attended the programs of Dianova

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1 DIANOVA ITALY

2 DIANOVA ONLUS WHO WE ARE Dianova in Italy was established in 1984 and later became an Onlus, which in Italian stands for Non-profit Organization of Social Utility. The organization is dedicated to providing support to those abusing substances, including drugs and alcohol, in residential drug treatment centers and outpatient facilities throughout the country. More than 22,000 people have attended the programs of Dianova

3 DIANOVA INTERNATIONAL Dianova is an international NGO with consultative status to the Economic & Social Council of the United Nations (ECOSOC), official partner of the UNESCO and affiliated member of the Organization of American States. The Dianova Network operates in 11 countries of Europe and the Americas, developing innovative initiatives in the fields of Education, Youth, Addiction prevention & Treatment and in the area of social and community development.

4 DIANOVA INTERNATIONAL Dianova International s headquarters are located in Lausanne (Switzerland), while its operating unit is in Castelldefels (Spain). Dianova International is an umbrella organization comprising all members of the Dianova Network within the framework of a common Mission, Vision and Values.

5 Our Vision Dianova s purpose is based on the conviction that, with appropriate support, each person will be able to find within him/herself the resources necessary to achieve success in his/her personal development and social integration Our Mission Developing initiatives and programs with the objective of promoting personal self-reliance and social progress Our Values Commitment, Solidarity, Tolerance and Internationality

6 DIANOVA FACILITIES N. 3 Counselling centers N. 5 Therapeutic communities (TCs) N. 1 Headquarters

7 DIANOVA ITALY TODAY Facilities: 5 accredited in-patient therapeutic communities (TCs) 3 counselling centers, of which 1 was accredited for outpatient services (in Rome) Available beds: 69 in the therapeutic & educational treatment program 18 in alcohol addiction treatment program 19 in the early admission services 61 in the residential drug treatment program Number of people attended in 2011: 362 in the therapeutic communities, for a total number of 476 including all residential services Employees: 101 Budget year 2011: (expenses) (receipts)

8 COMMUNITY OF COZZO (PV) TYPE: PROGRAMS: CAPACITY: AGREEMENT: MIXED GENDER TC FOR SUBSTANCE ABUSERS (alcohol/drugs), AND PATIENTS WITH MULTIPLE ADDICTIONS THERAPEUTIC & EDUCATIONAL RESIDENTIAL PROGRAM ALCOHOLISM AND MULTIPLE ADDICTIONS EARLY ADMISSION SERVICES 49 BEDS LOMBARDY REGION MINISTRY OF JUSTICE VOLUNTARY CIVIL SERVICE

9 COMMUNITY OF GARBAGNATE MILANESE (MI) TYPE: PROGRAMS: CAPACITY: AGREEMENT: MIXED GENDER TC FOR SUBSTANCE ABUSERS (alcohol/drugs), AND PATIENTS WITH MULTIPLE ADDICTIONS THERAPEUTIC & EDUCATIONAL RESIDENTIAL PROGRAM EARLY RESIDENTIAL ADMISSION RESIDENTIAL PROGRAM FOR ALCOHOLISM AND MULTIPLE ADDICTIONS 38 BEDS LOMBARDY REGION MINISTRY OF JUSTICE VOLUNTARY CIVIL SERVICE

10 COMMUNITY OF MONTEFIORE DELL ASO (AP) TYPE: PROGRAMS: CAPACITY: AGREEMENT: MIXED GENDER TC FOR SUBSTANCE ABUSERS (alcohol/drugs), AND PATIENTS WITH MULTIPLE ADDICTIONS RESIDENTIAL TREATMENT PROGRAM 23 BEDS MARCHE REGION MINISTRY OF JUSTICE VOLUNTARY CIVIL SERVICE

11 COMMUNITY OF PALOMBARA SABINA (RM) TYPE: PROGRAMS: CAPACITY: AGREEMENT: MIXED GENDER TC FOR SUBSTANCE ABUSERS (alcohol/drugs), AND PATIENTS WITH MULTIPLE ADDICTIONS RESIDENTIAL TREATMENT PROGRAM 18 BEDS LAZIO REGION MINISTRY OF JUSTICE VOLUNTARY CIVIL SERVICE

12 COMMUNITY OF ORTACESUS (CA) TYPE: PROGRAMS: CAPACITY: AGREEMENT: MIXED GENDER TC FOR SUBSTANCE ABUSERS THERAPEUTIC & EDUCATIONAL RESIDENTIAL PROGRAM THERAPEUTIC RESIDENTIAL PROGRAM EARLY ADMISSION, EVALUATION & REFERRAL 39 BEDS SARDINIA REGION

13 THERAPEUTIC COMMUNITIES IN ITALY EIGHTIES: Drug abuse rose dramatically during the decade with limited therapeutic response. Dianova s first therapeutic community opened in NINETIES: Levels of substance abuse lead to a social emergency. Whether it was due to the expansion of the phenomenon or the increase of addiction services, a legislative decree 309/90 Unique bylaw as regards drugs, which regulates the relations between public and private sectors. PRESENT TIME: The private sector has taken and still takes a major role in the addiction treatment system, placing Italy among the most advanced nations in this field.

14 SUBSTANCE ABUSE IN ITALY (report to the Parliament August 2012) Data collection May 15, 2012 Sample people (31.6% adherence rate) Estimate of the total number of consumers (both occasional and regular use) amounted to 2,327,335 (from 2,127,000 to 2,548,000) persons. Consumption Data heroin 0.23% (0.29 in 2011); Cocaine 1.06% (1.17 in 2011); cannabis 12.94% (12.65 in 2011); hallucinogens 0.86% (1.02 in 2011). Increase in the use of cannabis and stimulants (amphetamineectasy)

15 THE DIANOVA TREATMENT MODEL Dianova s intervention model is based on an holistic, biopsychosocial approach to addiction treatment, involving the person as a whole. - Therapeutic communities - Multidisciplinary teams - Individualized educational & therapeutic programs The Dianova model is based on the conviction that, with appropriate support, each person will be able to find within him/herself the resources necessary to achieve self-reliance

16 PEOPLE ADMITTED TO DIANOVA PROGRAMS Men & Women Seniors People with drugs and alcohol problems People with illnesses and health problems caused by substance abuse (HIV, HCV, etc.) People in trouble with the law (alternatives to imprisonment)

17 PROGRAM SPECIFICS Prior medical assessment/diagnosis Improved access and reduced waiting times Educational and therapeutic approach Involvement of family members Networking

18 THE PERSONNEL OF DIANOVA 101 Persons Men 61 Women 40 Educators, Psychotherapists, Psychiatrists, Nurses, Specialist in psychiatric rehabilitation Clinical educator Resident physicians TC workers TC leaders

19 2011 ADMISSION PROFILE Over 70% of residents present mental health conditions

20 SATISFACTION SURVEY Once a year Dianova Italy performs a client satisfaction survey to measure and improve program quality.

21 DATA COLLECTION ON THE PROVISION OF SERVICES BY DIANOVA IN 2011

22 MOTIVES FOR DISMISSAL FROM DIANOVA SERVICES & PROGRAMS 2011 DATA

23 TREATMENT RETENTION

24 PROGRAM COSTS EDUCATIONAL PROGRAMS: SPECIALIZED PROGRAMS: PER DAY PER DAY

25 COST/BENEFIT OF TREATMENT French, M.T., Sacks, S., De Leon, G., Staines, G., and Mckendrick, K. Modified therapeutic community for mentally ill chemical abusers: Outcomes and costs. Evaluation & the Health Professions 22(1):60-85, 1999 Incremental benefit of Modified TV Treatment: $273,115 Cost Per client of modified TC treatment: $20,361 (annual) Total net benefit per client $273,115 - $20,361 = $252,114 Benefit Cost Ratio $252,114/$20,361 = $5 benefit for every $1 of cost (13:1 data winsorized 5:1)

26 Thank you!